title: Rectus muscle flap for repair of refractory bladder fistula following renal transplantation: a case report.
abstract: We report a case of refractory bladder fistula in a diabetic renal allograft recipient that recurred shortly after conventional operative repair without any detectable external cause. After reoperation and use of a vascularized rectus muscle flap the fistula closed and the patient has retained excellent graft function. It is suggested that this technique should be considered as the primary repair modality for bladder fistulas in diabetic recipients, when wound healing is impaired seriously as a consequence of the combined effects of diabetic microangiopathy and steroid therapy.
authors.affiliation: Department of Surgery (Transplantation Service), State University of New York, Stony Brook.
authors.forename: M
authors.initials: M
authors.lastname: Shabtai
authors.forename: W C
authors.initials: WC
authors.lastname: Walter
authors.forename: Z
authors.initials: Z
authors.lastname: Frischer
authors.forename: N T
authors.initials: NT
authors.lastname: Khoo
authors.forename: D
authors.initials: D
authors.lastname: Anaise
authors.forename: F T
authors.initials: FT
authors.lastname: Rapaport
mesh_terms: D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery; D003928:Diabetic Nephropathies / Q000601:surgery; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D011183:Postoperative Complications / Q000601:surgery; D012008:Recurrence; D012086:Reoperation; D013524:Surgical Flaps; D001747:Urinary Bladder Fistula / Q000209:etiology / Q000601:surgery*; D014945:Wound Healing